Individual
ALYSSA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
630 CHILDRENS DR, COLUMBUS, OH 43205-2649
(614) 722-2000
Mailing address
640 CRESCENT DR, WEST JEFFERSON, OH 43162-1011
(614) 558-8172
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN.479068
OH
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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